Association Between Physical Activity and Pelvic Floor Disorders in Parous Ugandan Women.

Autor: Fleecs JD; University of Iowa Carver College of Medicine, Iowa City, IA, USA., Ngobi MD; Makerere University-John Hopkins University Research Collaboration, Kampala, Uganda., Kiweewa FM; Makerere University-John Hopkins University Research Collaboration, Kampala, Uganda., Vemulapalli R; University of Iowa Carver College of Medicine, Iowa City, IA, USA., Jensen JE; University of Iowa Carver College of Medicine, Iowa City, IA, USA., Steffen HA; University of Iowa Carver College of Medicine, Iowa City, IA, USA., Wendt LH; University of Iowa Institute for Clinical and Translational Science, Iowa City, IA, USA., Jackson JB; Department of Pathology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA., Kenne KA; Department of Obstetrics and Gynecology, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 31674 PFP, USA. kimberly-kenne@uiowa.edu.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2024 Sep; Vol. 35 (9), pp. 1769-1775. Date of Electronic Publication: 2024 Jul 13.
DOI: 10.1007/s00192-024-05859-4
Abstrakt: Introduction and Hypothesis: The aim was to assess the association between the degree of physical activity (PA) and the presence of pelvic floor disorders (PFDs) in a cohort of parous Ugandan women.
Methods: In this cross-sectional study, PFDs were measured using symptom assessment, standardized questionnaires (Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire), and a standardized physical examination (POP-Q and cough stress test [CST]). Degree of PA was assessed using the International Physical Activity Questionnaire. Interquartile ranges were used to describe the age, parity, and body mass index (BMI) of participants. To examine the association between PA and PFDs, a log transformation was applied to the weekly minutes of PA variable and a logistic regression model was constructed with weekly minutes of moderate/vigorous PA, age, BMI, and parity as the predictors.
Results: A total of 159 women were enrolled. Median age was 35 (IQR 32-37), median parity 4 (IQR 3-5), and median BMI 29.0 (IQR 24-33). The prevalence of PFD as determined by symptom assessment was 28% (n=44). The most frequent stage of prolapse identified by POP-Q was stage II (57%, n=91). Thirty-six percent of the women (n=58) reported vigorous PA. Ninety-nine percent of the cohort (n=158) reported moderate PA. When controlling for age, parity, and BMI there was a significant positive association between PFD (defined as a combination of stage II prolapse, positive CST, and urinary incontinence (UI)) and moderate PA (OR 2.20, 95% CI 1.08-5.14, p value 0.045).
Conclusions: Pelvic floor disorders are common among parous Ugandan women and are associated with moderate PA when controlling for age, BMI, and parity. Understanding the risk factors associated with PFD in this population may better equip providers to screen and care for individuals.
(© 2024. The Author(s).)
Databáze: MEDLINE
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